Affidavit For Collection Of Wages
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Affidavit For Collection Of Wages Form. This is a Arizona form and can be use in Pinal Local County.
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Tags: Affidavit For Collection Of Wages, Arizona Local County, Pinal
AFFIDAVIT FOR COLLECTION OF WAGES
STATE OF ARIZONA )
) ss:
COUNTY OF PINAL )
, being first duly sworn, on oath, deposes and says:
1.
died on
County of
, State of
, 20 , in the
.
2.
Affiant is the spouse of the decedent, or is authorized to act on behalf of the spouse.
3.
No application or petition for the appointment of a personal representative is pending or
has been granted in this state.
4.
The affiant is entitled to receive payment of wages, salary or other compensation for
personal services owed to the decedent, in an amount not in excess of FIVE THOUSAND
DOLLARS ($5,000.00).
This affidavit is made pursuant to A.R.S. ยง14-3971.A. as amended, for the purpose of making
claim to such wages, salary or other compensation for personal services under said statute.
DATED:
Signature of Affiant
SUBSCRIBED & SWORN TO before me this
day of
My commission expires:
Notary Public
Superior Court of Arizona in Pinal County
July 8, 2009
ALL RIGHTS RESRVED
, 20
.
PB Affidavit to Collect Personal Property
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